Provider Demographics
NPI:1861873374
Name:ONYEBUCHI, CHINENYE
Entity type:Individual
Prefix:
First Name:CHINENYE
Middle Name:
Last Name:ONYEBUCHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHINENYE
Other - Middle Name:QUEENCILIA
Other - Last Name:ONYEBUCHI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:1269 E MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48198-5901
Mailing Address - Country:US
Mailing Address - Phone:216-322-1339
Mailing Address - Fax:
Practice Address - Street 1:1269 E MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48198-5901
Practice Address - Country:US
Practice Address - Phone:216-322-1339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-11
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.389864163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health